Individual
ANNA MARIE GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
7718 COUNTY ROAD 107, PROCTORVILLE, OH 45669-7928
(740) 886-1150
(740) 886-1177
Mailing address
7718 COUNTY ROAD 107, PROCTORVILLE, OH 45669-7928
(740) 886-1150
(740) 886-1177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
54213
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561286
—
OH
05
—
7102183000
—
WV
01
—
P00174864
RAILROAD MEDICARE
WV
Enumeration date
06/09/2006
Last updated
02/01/2022
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